helvella - Thyroid Hormone Medicines - UK - Thyroid UK

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helvella - Thyroid Hormone Medicines - UK

helvella profile image
helvellaAdministrator
15 Replies

My UK thyroid hormones document now includes price information for standard packs as published on the dm+d database - where available.

These prices should be up to date and I have included the dates from which the prices applied.

If anyone sees a more recent price, please let me know.

helvella - Thyroid Hormone Medicines

helvella has created, and tries to maintain, documents containing details of all thyroid hormone medicines licensed in the UK and, in less detail, many others around the world. There is now a specific world desiccated thyroid document.

I highly recommend viewing on a computer screen, or a decent sized tablet, rather than a phone. Even I find it less than satisfactory trying to view them on my phone.

helvella - Thyroid Hormone Medicines - UK

The UK document contains up-to-date versions of the Summary Matrixes for levothyroxine tablets, oral solutions and liothyronine available in the UK. Includes injectables and descriptions of tablet markings which allow identification. Latest updates include all declared ingredients for all UK-licensed products and links to Patient Information Leaflets, Dictionary of Medicines and Devices (dm+d), British National Formulary, NHS Drug Tariff, etc. PLUS how to write prescriptions in Appendix F.

Now also includes latest pricing information from dm+d..

Also includes links for anti-thyroid medicines (but not product details).

Direct link to PDF:

📄 dropbox.com/s/bo2jzxucgp9hl...

Direct link to blog:

helvella.blogspot.com/p/hel...

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helvella
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15 Replies
TiggerMe profile image
TiggerMeAmbassador

Marvellous! Thank you 🤗

I think Teva Liothyronine might be missing a couple of 00's?

Indicative Price: 64; Start Date: 18-09-2024

helvella profile image
helvellaAdministrator in reply toTiggerMe

No - definitely not. :-)

It should have been 6785! And the date was wrong.

And I appreciate your sharp eyes. My attention must have wavered at that point. Now fixed.

Any further issues - let me know folks.

BB001 profile image
BB001

How on earth do you have time to do all this? Thank you very much.

sparkly profile image
sparkly

Sorry helvella, my brain can't follow or understand anything that is too complicated with my memory/concentration issues. I have to rely on using the bnf app

Just had a look and noticed this

Liothyronine 10microgram tablets (A A H Pharmaceuticals Ltd)

Liothyronine sodium 10 microgram

28 tablet 

NHS indicative price = £477.91 😱😱😱

Drug Tariff (Part VIIIA Category C) price = £152.44

I'm not familiar with this manufacturer but that price has surely got to be wrong?

Prices are now creeping up so much like before. I know T3 it's going to get deprescribed at some point for me 😢

helvella profile image
helvellaAdministrator in reply tosparkly

The BNF information can and does serve to confuse!

BNF lists "suppliers". Which includes manufacturers and distributors.

AAH are there as distributors - they are not manufacturers and there is no separate AAH liothyronine product.

The product they supply is Morningside - which is the only 10 microgram liothyronine tablet.

All the suppliers of this product show the price £152.44 - as both the NHS indicative price AND the Drug tariff price. (Except Medihealth (Northern) Ltd which shows No NHS indicative price available.) - And AAH as we are discussing.

BNF often has prices which make little sense. Which is why I only use their prices for quick reference.

The NHS Drug Tariff also confuses.

Both BNF and NHS Drug Tariff only update about once a month so mistakes or transiently "odd" prices due to other causes can remain visible until the next update.

dm+d updates far faster - sometimes within a few days and usually within a week.

If I have understood the processes, the manufacturers and distributors advise dm+d and the information flows from there into the NHS Drug Tariff and the BNF.

That is why I have gone for dm+d information.

Now, when I look directly at dm+d I find another oddity for AAH. See the attached screenshot.

dm+d shows £477.19 until 12-11-2024, and £289.64 from 13-11-2024.

Both prices way out of line with the manufacturer's own prices.

While I can understand that distributors can set their own prices, this makes it look as if AAH have set a price so high that no-one will order through them - unless they have some sort of tie-in with the pharmacy. (Which happened to all ex-Lloyds pharmacies.)

Screenshot of AAH at dm+d
sparkly profile image
sparkly in reply tohelvella

Oh, blimey, i wish I hadn't asked now. I already worry over Morningside price increases. Being told that this is about a Morningside dose is really concerning.Every 6 weeks I panic. Firstly, if the surgery will still honour the script and secondly if the pharmacy can still supply Morningside. It's already over doubled in price since I've had it prescribed.

helvella profile image
helvellaAdministrator in reply tosparkly

I hope it is an oddity of AAH (former Lloyds) - and getting it from a pharmacy which uses Alliance would see the price as £152.44.

But it is never-endingly confusing all round.

It would be so good if any members actually worked somewhere that deals with these things directly and could explain accurately and fully. I have to reply on what I can glean from the information that is visible.

sparkly profile image
sparkly in reply tohelvella

I'm convinced it's kept from public knowledge. If you can't find the information, then no one can.You can Google anything, but googling how this all works isn't one of them. It's just so annoying that a pharmacy can't supply your brand because it costs them to do so. The system is wrong

Steni profile image
Steni

how amazing ! Thank you for your research , knowledge and your time investment .

MTC1 profile image
MTC1

Thank you for the info Helvella.i agree with you ! Do you know where I can get my Liothyronine cheaper ? At the moment l pay £1 per tablet (20 msg ) . My consultant thinks that’s cheap …but l don’t ! 😉

Jaydee1507 profile image
Jaydee1507Administrator in reply toMTC1

Cheapest T3 available would be Thybon-Henning at around 60-70p per 20mcg tablet. Get Endo to specify that brand and phone around the pharmacies on this list for quotes before purchase.

thyroiduk.org/get-support/t...

helvella profile image
helvellaAdministrator in reply toMTC1

Sorry MTC1, I don't take or buy any T3 so have little information. However, I see that Jaydee1507 has replied.

jgelliss profile image
jgelliss

Helvella Thank You for your very hard work and dedication that you share with our forum. I would like to ask you if you are aware if Teva changed their fillers of late with Liothyronine? Thank you for all your Work and research.

helvella profile image
helvellaAdministrator in reply tojgelliss

No. No changes in product documentation as to excipients.

Changes to formulations are rare. However there is always the possibility that they obtain one of the excipients from a different source, or something is out of specification.

jgelliss profile image
jgelliss in reply tohelvella

Helvella Thank you so much for your very kind reply.

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